Elder Care Record

Pennsylvania › Delaware County › Bryn Mawr

Bryn Mawr Village

773 East Haverford Road, Bryn Mawr, PA 19010

CCN 395095 · Non-profit, corporation · 120 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Bryn Mawr Village, in Bryn Mawr, Pennsylvania, is certified for 120 beds under non-profit, corporation ownership.

CMS gives it 3 of 5 stars overall, equal to the Pennsylvania median; the health inspection rating is 2, staffing 2 and quality measures 5.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (20, 11, 13 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 36.7 per 100 beds, more than the state median of 22.2.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 4.3 hours per resident per day (0.7 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 73.3%.

44health deficiencies, 3 survey cycles2 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
4.3nurse hours per resident per daystate median 3.6
28%occupancy (residents ÷ beds)34 residents a day

Compared with county, state and nation

MeasureThis facilityDelaware Co. medianPennsylvania medianUS average
Overall star rating3333.0
Health citations, 3 cycles44192628.7
Citations per 100 beds36.716.722.226.8
Total nurse hours per resident day4.33.73.63.9
RN hours per resident day0.70.70.70.7
Nursing staff turnover73.3%41.0%44.3%45.8%
Fines listed$15,902$0$0—

County and state figures are medians across facilities (28 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)20
Cycle 211
Cycle 313

Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Feb 2026, 6 Mar 2025.

Severity mix: J ×1 G ×1 D ×35 E ×5 F ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
13 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey8 Oct 2025
13 Feb 2026F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey7 Apr 2026
13 Feb 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey7 Apr 2026
13 Feb 2026F0692Provide enough food/fluids to maintain a resident's health.EStandard survey7 Apr 2026
13 Feb 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey7 Apr 2026
13 Feb 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey (under dispute review)7 Apr 2026
13 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey7 Apr 2026
13 Feb 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey7 Apr 2026
13 Feb 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey7 Apr 2026
13 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey7 Apr 2026
13 Feb 2026F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey7 Apr 2026
13 Feb 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 Apr 2026
13 Feb 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey7 Apr 2026
13 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Apr 2026
13 Feb 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey7 Apr 2026
13 Feb 2026F0880Provide and implement an infection prevention and control program.DStandard survey7 Apr 2026
13 Feb 2026F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey7 Apr 2026
13 Feb 2026F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.CStandard survey7 Apr 2026
24 Sep 2025F0610Respond appropriately to all alleged violations.EComplaint investigationDeficient, Provider has no plan of correction
24 Sep 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint investigationDeficient, Provider has no plan of correction
6 Mar 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey21 Apr 2025
6 Mar 2025F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey21 Apr 2025
6 Mar 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Apr 2025
6 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey21 Apr 2025
6 Mar 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey21 Apr 2025
6 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey21 Apr 2025
6 Mar 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey21 Apr 2025
6 Mar 2025F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey21 Apr 2025
6 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey21 Apr 2025
6 Mar 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey21 Apr 2025
6 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey21 Apr 2025
10 May 2024F0692Provide enough food/fluids to maintain a resident's health.JStandard survey1 Jul 2024
10 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey1 Jul 2024
10 May 2024F0730Observe each nurse aide's job performance and give regular training.EStandard survey1 Jul 2024
10 May 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey1 Jul 2024
10 May 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 Jul 2024
10 May 2024F0687Provide appropriate foot care.DStandard survey1 Jul 2024
10 May 2024F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey1 Jul 2024
10 May 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey1 Jul 2024
10 May 2024F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard survey1 Jul 2024
10 May 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey1 Jul 2024
10 May 2024F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard survey1 Jul 2024
10 May 2024F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard survey1 Jul 2024
14 Feb 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation6 Mar 2024

Penalties

DateTypeAmountDetail
10 May 2024Fine$15,902

Staffing

Total nursing4.26 h
Nurse aides2.21 h
LPN1.36 h
RN0.69 h
Weekend total3.79 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 73.3%, RNs 75.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityPennsylvania medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.0%15.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.0%2.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%1.0%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay3.1%4.5%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.5%17.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Northeast Snf Operations Llc.

OrganisationRole in the CMS recordInterestSince
Haverford Holding Company Inc5% or greater direct ownership interest100%08/30/2021
Compassionate Care Healthcare Consultants LLCOperational/managerial controlNOT APPLICABLE08/30/2021

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Delaware County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Beaumont At Bryn MawrBryn Mawr4455524.5—15 Aug 2024
Broomall ManorBroomall11455354.4—16 Jan 2026
Continuing Care At Maris GroveGlen Mills665451624.2$23K24 Jun 2026
HCC At White Horse VillageNewtown Square5555535.5—9 Jan 2025
Little Flower ManorDarby12755553.9—11 Dec 2025
Monticello HouseMedia8654422.3—18 Jun 2026
Rosewood Gardens Rehabilitation and Nursing CenterBroomall14655442.7—6 Feb 2026
William Hood Dunwoody Care CtrNewtown Square8155556.2—4 Apr 2025

All 28 facilities in Delaware County

Questions and answers

How many deficiencies has Bryn Mawr Village been cited for?

44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.

Has Bryn Mawr Village been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Bryn Mawr Village compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.

Who operates Bryn Mawr Village?

Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Haverford Holding Company Inc and Compassionate Care Healthcare Consultants LLC. Individual owners and managers are not listed on this site.

When was Bryn Mawr Village last inspected?

The most recent survey or investigation in the CMS record is dated 13 Feb 2026; the most recent standard health survey was 13 Feb 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.